The pCONus device for the endovascular treatment of wide neck bifurcation aneurysms

Journal of Neurointerventional Surgery
Boris LubiczOmer Faruk Eker

Abstract

The pCONus is a new stent featuring a distal end that opens like a blossoming flower with four petals. The device is implanted in the aneurysm sac at the level of the neck. We report our initial experience in a series of patients treated with this device. This retrospective study was approved by the authors' ethics committees. 18 patients with 19 unruptured wide neck bifurcation intracranial aneurysms (IA) were treated by pCONus placement and coiling. Technical issues, immediate post treatment angiographic findings, and clinical and imaging follow-up were assessed. Embolization was successful in all patients. There were 11 women and 7 men with a mean age of 60 years. Median aneurysm size was 9 mm (range 5.5-25 mm). The device was precisely placed and detached in all cases, allowing for subsequent coiling. Two patients experienced a symptomatic complication, one of which, a thromboembolism, was related to the use of the pCONus. This patient had a slight hand paresis. 16 patients had a normal neurological examination at discharge. Immediate anatomical results were 13 complete occlusions, 2 neck remnants, and 4 incomplete occlusions. Imaging follow-up was obtained in 12 patients (mean 9.5 months, range 2-24 months) and showed 9 st...Continue Reading

References

Dec 1, 1988·Stroke; a Journal of Cerebral Circulation·R Bonita, R Beaglehole
May 31, 2003·Stroke; a Journal of Cerebral Circulation·Jean RaymondDaniel Roy
Jul 12, 2008·Stroke; a Journal of Cerebral Circulation·Laurent PierotUNKNOWN ATENA Investigators
Jun 13, 2009·Stroke; a Journal of Cerebral Circulation·Sandra P FernsCharles B L M Majoie
Nov 8, 2011·Journal of Neurosurgery·Cameron G McDougallFelipe C Albuquerque
Dec 24, 2013·Journal of Neurointerventional Surgery·Anastasios MpotsarisWerner Weber
Jul 26, 2014·AJNR. American Journal of Neuroradiology·B BartoliniM Piotin

❮ Previous
Next ❯

Citations

Jul 15, 2016·Journal of Neurointerventional Surgery·M Aguilar PérezH Henkes
Dec 4, 2016·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Pervinder BhogalHans Henkes
Feb 22, 2017·Journal of Neurointerventional Surgery·Benjamin MineBoris Lubicz
Sep 22, 2018·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Iacopo ValenteAlessandro Pedicelli
Apr 21, 2018·Circulation·Clifford J EskeyUNKNOWN American Heart Association Council on Cardiovascular Radiology and Intervention and Stroke Council
Jan 4, 2018·Journal of Clinical Imaging Science·Krishna Prasad Bellam PremnathAnil Kumar Shivan
Feb 6, 2016·Journal of Neurointerventional Surgery·Elizabeth Hai Yen Du, Jai Jai Shiva Shankar
Aug 23, 2017·Journal of Clinical Imaging Science·Krishna Prasad Bellam PremnathAnil Kumar Shivan

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Cajal Bodies & Gems

Cajal bodies or coiled bodies are dense foci of coilin protein. Gemini of Cajal bodies, or gems, are microscopically similar to Cajal bodies. It is believed that Cajal bodies play important roles in RNA processing while gems assist the Cajal bodies. Find the latest research on Cajal bodies and gems here.

Aphasia

Aphasia affects the ability to process language, including formulation and comprehension of language and speech, as well as the ability to read or write. Here is the latest research on aphasia.